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UMC WEKIVA SPRINGS, INC.

Company Details

Entity Name: UMC WEKIVA SPRINGS, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 16 May 2000 (25 years ago)
Document Number: P00000049036
FEI/EIN Number 593645645
Address: 603 MAIN ST, WINDERMERE, FL, 34786
Mail Address: 603 MAIN STREET, WINDERMERE, FL, 34786-1100
ZIP code: 34786
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1083644348 2006-07-03 2020-08-22 3947 SALISBURY RD NORTH, JACKSONVILLE, FL, 32216, US 3947 SALISBURY RD NORTH, JACKSONVILLE, FL, 32216, US

Contacts

Phone +1 904-296-3533
Fax 9042963536

Authorized person

Name MR. STEVE FEHR
Role VICE PRESIDENT OF FINANCE
Phone 4078762200

Taxonomy

Taxonomy Code 283Q00000X - Psychiatric Hospital
License Number 4482
State FL
Is Primary No
Taxonomy Code 324500000X - Substance Abuse Rehabilitation Facility
License Number 0416AD897801
State FL
Is Primary No

Agent

Name Role Address
BARKMAN KEVIN Agent 603 MAIN ST, WINDERMERE, FL, 34786

DCAS

Name Role Address
DIZNEY DONALD R DCAS 603 MAIN STREET, WINDERMERE, FL, 34786

President

Name Role Address
DIZNEY DAVID A President 603 MAIN STREET, WINDERMERE, FL, 34786

Chief Executive Officer

Name Role Address
DIZNEY DAVID A Chief Executive Officer 603 MAIN STREET, WINDERMERE, FL, 34786

Executive Vice President

Name Role Address
BARKMAN KEVIN Executive Vice President 603 MAIN STREET, WINDERMERE, FL, 34786

Secretary

Name Role Address
BARKMAN KEVIN Secretary 603 MAIN STREET, WINDERMERE, FL, 34786

Vice President

Name Role Address
CORDDRY DAVID Vice President 603 MAIN STREET, WINDERMERE, FL, 34786

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2018-04-24 No data No data

Date of last update: 02 Jan 2025

Sources: Florida Department of State